Global Perspective- 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates effectively on a multi-lingual basis.
Volunteers for experiences and assignments abroad.
Analyzes global issues/problems that are having a large impact on the Company.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Leverages interdepartmental connections to fuel creative solutions.
Uses imaginative thinking to adapt to changing circumstances.
Synthesizes learned information into innovative designs.
Imagines new products, services, or processes before they're needed.
Open to new ideas.
Continual Learning	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds on their strengths while addressing their weaknesses.
Participates in regular training offered.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Views setbacks as opportunities to learn from.
Feedback	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Bases feedback on observable facts and behaviors, not personal opinions or emotions.
Enables employees to improve performance by providing feedback.
Actively seeks feedback from others.
Ensures that subordinates act on the feedback they receive from others.
Proactively seeks input from others, asking for their perspectives and suggestions on how to improve.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Decomposes problems into smaller, manageable parts.
Examines patient orders to determine the proper dosage of medicines.
Presents quantitative data in a clear and concise manner aiding in making persuasive and evidence-based arguments.
Identifies patterns in conflicting information, events, or data.
Identifies the part of the business value chain that is affected by a particular decision or action, diagnoses the situation, and prioritize what needs to be done and who needs to be involved.
Time Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Stays undistracted by slower coworkers.
Prioritizes major tasks over smaller ones.
Achieves high output to meet deadlines.
Never late for work.
Usually works at a fast pace to get more done.
Change Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Monitors and assesses the changes.
Is a leading force driving changes.
Succinctly conveys a vision of the changes in a way that is easy for employees to understand.
Anticipates changes that radical decisions may have on the department.
Addresses organizational and departmental resistance to changes.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes all assigned tasks.
Responds to changing events to maintain progress toward achieving results.
Explains the "whys" behind organizational objectives
Has a positive attitude that encourages others to continue supporting the production goals.
Supports team members through transitions, maintaining morale and productivity.

41. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: